Individual
MS. DELORES JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2121 SW 36TH ST, SAN ANTONIO, TX 78237-3360
(210) 358-5100
(210) 358-5157
Mailing address
PO BOX 87, SAN ANTONIO, TX 78291-0087
(210) 358-9172
(210) 358-9183
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23587
TX
Other
Enumeration date
06/24/2011
Last updated
01/21/2014
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